Banner Medical Clinic Torrington | |
625 Albany Ave Torrington WY 82240-1530 | |
(307) 532-2107 | |
Not Available |
Full Name | Banner Medical Clinic Torrington |
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Speciality | Clinic/Center |
Location | 625 Albany Ave, Torrington, Wyoming |
Authorized Official Name and Position | Zachary Miller (CEO) |
Authorized Official Contact | 3075347054 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Banner Medical Clinic Torrington 2901 N Central Ave Ste 160 Phoenix AZ 85012-2702 Ph: () - | Banner Medical Clinic Torrington 625 Albany Ave Torrington WY 82240-1530 Ph: (307) 532-2107 |
NPI Number | 1174059786 |
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Provider Enumeration Date | 05/03/2017 |
Last Update Date | 03/16/2023 |
Medicare PECOS PAC ID | 6608784194 |
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Medicare Enrollment ID | O20170608000298 |
Identifier | Type | State | Issuer |
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1174059786 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
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